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HomeMy WebLinkAbout20166154 - PermitCity of Santa Ana Permit Counter: (714) 647-5800 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 2Ot66{54 Pin #: 7{956lnspection R uests: (714) 667-2738 lnspector Section: (714),647-5853 Project Address: 2235 N Tustin Ave Assesso/sParcel: 396-281-49 Lot: POR 12 U nit: Block: B Bldg: Address Range: 2231-2239 Tract: A.B. CHAPMAN Historic: No Suite Range: Zoning: C5 E Owner: Address: Phone; Tenant Name: Contractor: Address: CKL PROP LLC 20640 MIRKWOOD RUN Yorba Llnda, CA 928867107 Calvary Temple Royal Rangers Owner-Builder Fee Type 01 116002 s1603 FWU 01116002 51600 General Plan Update 0'1'116002 51603 lssuance Amount 23.87 21 .25 52.98 Qty 1.00 1.00 1.00 Fee $23.87 $21.25 $52.98 Phone State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: Building Use: Job Type: Nature of Work: Planning Conditions Planning Approval By Plan Checked By: Permit lssued By: Subjecl to Field: Building Permit #: Other Miscellaneous Fireworks Stand N/A N/A cEc 2016 Notes: Handout given,lfees pd in full on M-71'l'10 Misc. Receipt: 71110 Misc. Receipt: Misc. Receipt: Total Link, Patricia Every permit issued shall become invalid unless the wotu on the sito authoized by such permit is commenced within 180 days after its issuance, ot if the wot* authoized on the site by such peftnit is suspended or abandoned lor a period ol 1 80 days aftet the lime the wo* is comnenced 06/13/2018 Account# $98.10 $98.10 $0.00 lnspector N/A - No Balance Fee Total: Paid to Date: Balance Due: Occupancy: Constr Type: Code: Date; Date: Date; MID#: 2018-'143964 ELECTRICAL.INSPECTOR BECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDI]R DELCARATION I hcrcby,trtrm undcr p.nalry or pcrjory rhir I m eicmpl li.m rhc C.ntmclos l-tcnsc t,w for lhe follo*ins rcasn (Scc?01,.5 Arsinc$ and Pr(r'cssion Code) Any Cily or County whi.h r.qxi6s a J.r. r ro .onsdcr, alkr, imprdw, dcfrrirh or mpLn any sltudurc. prhr ro its tsuancc.0lv, rcquncs thc opplicnd for su.h Fnnn ro ika siSncd {nrcm lh.l lEor sh. i licenrd pu*ua lo lhe rorhions orthc Contacror's Licc.scd tjw (Chaprcr 9, Conmcncing {irh Sccii.d 7O(D ol Dilknrn 3 .frhc surnrs and Proic$ions Codc) or lhal hc or shc t cxcDrpi lhcrcfrcm and rhc ttr$is ror rh. ollcgcd cxcnlpri.tr. Any v,olation ofScclbtr 7011.5 by atry 4ffiffi ;ffi."*,#--*ffi ffiffi"-;inn**",., rhc J,mpcny wk) boilds or iqmws rhcd'n. dd wh. d6 skh sorl himsclfor hc^clfor rhmugh his or hcr o*n.rplorc.s, providcd rhi stch impmwmnrsm mr inrcn& n oficrcd lorsrlc.l( ho*crcr. rhe huirdiq or imrmEmnl issUwitiaom 16 olco'.plcrior rhc owrcr Buildcr willh'rc rhc burdenolpovirS lh lt or shc did nor huild .r nnpi(,vc lhc potmy for rhc l,Urrx's of l- soqmrnfrhprt,rdy.drcx.lusivclr.otrtrcrin8wirili.cn\cd.ontrctxt,.oD{tu.rlhcpn)jcd(S.c7(},14.Br,i"r$ a,i&.rssbnCodc:lhcConrrcnr'sl-iccn\cl,rwdocsrot0t)r'lvro.*nc!oipropcnyahohuildso,tnpn,vcsrh.'.otr. *ho.ofur(r\tur\u.hB,lc.N(irlrrC.kcrtr(\)l'rrn\rlllur\utrrbrhcCotrrr.rtr'\1.'.rtr\cLr\) lr V I I hcicht rlli'nrrn,lcr pcMlry of|[rlurtotu olrhc rallowi PolicyNun$cr Erph\ I.cdityrhrinrhcncrrnnnurcolrh.sorknn$hichtlrilt^-rniri\isnErl.Ishrllfrrctrrloyanypcrvn,inrtryornnci o rsrobr.oif, \uqcd brlr w.rkc^' .onrlfn\d 6n lrw\olCrlif{{fir. rnJ xErL{ rlrrifl \lr,uu h.cotrr\uhrc.r hrh. *.rk.rs.onrFtr\rridrpflrvni,,nlolS.dn,n.l7(nofrhclrhtr(t{c.lshlll.lonh\irIcon t$irhrl$\cpmlis n\ WARNINC: lj{ilurc to sccurc wo.kcn ::r'f.'fiaTiH conDctrsalior covcrtr!. is unlawhl. itrd rll suhjcct rtr cmploycr Io crimirrlrEnrliics and dollffs (Sl([.uxr. tridr ro rh. Ihcrcbtrfln'nuidur.rhyofFluryrhrrI nli.{.s.dund.rtnovi\i{nrofChaprcr9(onnkncingsnhSc.ri( or ihc Busircrsand thilssn,n\Codr. d nry licensc is ir tulllnr.u xlcr'iicl CotrtE.lor: CONSIiIJI:IIANIEIDINC-AIiIN.CI I h.rchy affirm uM.r Fnrtyofp.lurr rhar lh.rc k aconsroction lcndin8 trgcty fd rhc FrfornBn.e ofrhc work Lr whi.h rhi\ Frrir i\ hsocd (S( .ltr97, Ci!. C.) A.TIIIIANLDECITIBAIION I ho{ny alilm undcr Fnalty of pcrjury om of llrc followine dftlur(ions D.nnlition P.mirs Asb(ro! Norificorion F.ddrl Rcsubrn,ns Oirle.r0. Pan6) Rc!uiBd bnf of Norificarion h*d;hcfcdcmlrcSulolions E8ardirg .sbcnos rc r'rtrlr* nor,rpl{ahlc lo rc,.ad rhn lIplaart,nond slrrcihir rhc ltDvc nnonMrion is corc.r rudion. u\i hcr.by ouihorize rcprecn! rtx,vc nEnri,,nctl p.orcny lhr in\iccrion Appli(nnl or Ag€nl Si*nalrN tlix I rxret,i{'plytrirhallCi,y rn'l C dtrla rn's "r,htr ci,vrndcou y,icdrundn,hc "^,l4fu1fu)){ Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Lite Saf ety /Low Voltage Fire Alarm / Dampers Communications Cable Buildinq Under Slab / Floor Bonding / Groundinq / UFER fqqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soflit Rouoh Ceilings (T-Bar Rouoh) ft/eter Release Bough Service [t/eter FINAL /,27-/8 J/elaz ,fr/ Notes, Remarks, Etc Translormers _l havc ad *ill Einrain a Ccniiiclrc ol Consc ro Sclf.lnsur. fr. worksl com,E.snrion, os lmvidcdforhySNri.fl17(x)ofrhc tabor Codc, f(tr rhc p.lfonMmc ofrh. wo { for whi.h rh. p.mn ! i*u.J. I hrvc rnd sill @inr3i. Macrr' conpcn\arion inslrarc., as rcquncd hy Sccrion l7O0 ot rhc trh.r Code, for rh. lcrfolfunc. of rhc work l uhi.h rhis p.rnil is issu.d. M y work.^ ..nt nsdr ion inslrsn.r crid ,rd F,licy nxnrbfi ml